{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"W NIARSRETA","gend":1,"add":"NILREBO 5122802 TINU RD ","city":"WOODBRIDGE","state":"VA","zip":22191,"dob":"1975-06-23","age":"","mstatus":"","insh":"95700210*42","cliId":"","pno":"93\/0428319-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/680-7950","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22191,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G43.809","H81.10","R73.03","H66.92","Z12.4","N76.1","Z12.31","G47.00","H60.90","R10.13","N76.0","Z12.11","R05.9","M79.3","Z98.84","Z71.3","Z13.21","E66.9","E50.9","E55.9","R11.0","F41.9","H66.91","Z68.34","K22.2","K59.00","R42.","Z71.9","G47.33"],"date":["2022-01-10","2022-01-10","2022-01-10","2022-01-10","2022-01-10","2022-01-10","2022-01-10","2022-01-10","2022-05-03","2022-07-05","2022-05-03","2021-12-20","2022-02-03","2021-07-01","2022-07-05","2022-07-05","2022-07-05","2022-07-05","2022-07-05","2022-07-05","2022-07-05","2022-06-10","2022-06-10","2022-06-10","2021-07-30","2021-07-30","2021-07-30","2021-07-30","2022-07-30"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"comment":[["","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}